Pacemaker Diathermy Reprogramming — FRCA Final MCQ

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ModerateAnaesthetic Equipment & SafetyPacemaker Diathermy ReprogrammingFRCA Final

Pacemaker-dependent patient needs surgery with diathermy. Recommended pacemaker reprogramming?

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Correct answer: A — Reprogram to VOO (asynchronous)

Pacemaker-dependent + diathermy EMI: reprogram to asynchronous (VOO/DOO). Ensures continuous pacing regardless of sensed EMI. Magnet is emergency alternative (converts most to asynchronous). Formal reprogramming by physiologist preferred.

Reference: Association of Anaesthetists – 2023 – CIED management